Distinguishing Pain versus Psychiatric Behavior in Alzheimer's Disease Patients
Microsoft Word (50.29Kb)
Morgan Krump, DNP, RN, email@example.com
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Krump, Morgan E. by View
Popular Works for Krump, Morgan E. by Download
The citations below are meant to be used as guidelines. Patrons must make any necessary corrections before using. Pay special attention to personal names, capitalization, and dates. Always consult appropriate citation style resources for the exact formatting and punctuation guidelines.
Item Link - Use this link for citations and online mentions.
Alzheimer's Disease (AD) patients are at risk for not having their pain recognized. When nurses do not have adequate knowledge and tools to help determine if an AD patient is experiencing pain this often results in ignored and under-treated pain (Malara et al., 2016). In nursing staff working in a long-term care (LTC) facility (P) how does a multifaceted educational approach utilizing Registered Nurses' Association of Ontario (RNAO) and Management of Pain Clinical Best Guidelines (I) increase the competence level in distinguishing pain versus psychiatric behaviors in AD patients (O) over a period of 90 days? The local problem involves nurses working in a long-term care facility that are experiencing difficulties recognizing pain in patients with AD. Data collected from PAINAD assessments was analyzed using a paired t-test. Application of PAINAD assessment tool, following RNAO's Assessment and Management of Pain Clinical Best Practice Guidelines and guided by the use of the Plan-Do-Study-Act (PDSA) framework. Nurses were given a pre-and-post survey, were provided education on using the PAINAD assessment tool, and received support through random audits, chart reviews, and continued education as they utilized the assessment tool on their unit. There was a significant difference in the scores of the facilities original pain scale (M = 0.3786, SD = 1.24551) compared to the alternative PAINAD assessment tool (M = 0.6893, SD = 1.48221) conditions; t (4) = -2.814, p =0.006. In conclusion, implementation of the PAINAD assessment tool resulted in a statistical significance in the nurse's ability to detect pain in AD patients during this pilot project. This trend of improvement occurred despite the small sample size and short project timeframe.
Repository Posting Date
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
|Type||DNP Capstone Project|
|Review Type||Peer-review: Single Blind|
|Evidence Level||Clinical Practice Guideline(s)|
|Research Approach||Pilot/Exploratory Study|
|CINAHL Subject(s)||Alzheimer's Disease;
Pain Management--In Old Age;
Pain Management--In Old Age;
Long Term Care;
Nursing Home Patients;
Clinical Assessment Tools
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Social isolation in long term care: Improving assessment and decision-making skills Marshall, Tammie (2017-08-30)The purpose of this project was to evaluate the effect of a quality improvement project with a multicomponent intervention on assessment and decision-making skills for healthcare professionals who are responsible for the ...
Culture change and quality of life in elderly persons living in long term care Jones, Carol S.Quality of life in long term care (LTC) is a concern for many stakeholders. The elders who are living in LTC facilities, their families, the staff, and government and policy makers are all interested in providing quality ...
Simulated presence use for quality of life maintenance and reduction of symptoms of distress in persons living with dementia in long-term care Bush, Erin E.Background: Nursing home residents with dementia often have an array of neuropsychiatric symptoms, including dementia-related agitation. It is theorized that many of these agitation symptoms occur due to unmet psychosocial ...
Using personalized music playlists to improve outcomes for patients with dementia in long-term care facilities Kelley, Ty'Neshia P. (2017-10-20)Nursing students are in need of experiences which help to promote inter-professionalism in the care of patients with dementia. The purpose of this study was to examine nursing and social work students' experiences working ...
Comparison of child and family health outcomes in families with children with special health care needs cared for in home care, long-term care, and medical day care settings Caicedo, Carmen (2016-03-21)Session presented on Saturday, November 7, 2015: There are over 11 million children with special health care needs (CSHCN) in the U.S. resulting from improved survival rates for children with preterm births, congenital ...